DR. MANISHA GHIMIRE M.D
NPI 1629410386
Hospitalist in Raleigh, NC

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-6835 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2021, May 20, 2019, Jul 21, 2017 (3 updates tracked since 2017).

About Dr. Manisha Ghimire M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANISHA GHIMIRE M.D (NPI 1629410386) is an individual hospitalist provider in Raleigh, North Carolina, licensed in North Carolina (2019-00110) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629410386
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. MANISHA GHIMIRECredential: M.D
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 23, 2013
Last NPPES UpdateFebruary 25, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1629410386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in NC · 2019-00110 Licensed in MD · D81430
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License D0081430 (MD)
3000 NEW BERN AVE, Raleigh, NC 27610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Manisha Ghimire M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173819216
PECOS Enrollment IDI20240517001279
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manisha Ghimire's NPI number?

The NPI number for Manisha Ghimire is 1629410386. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Manisha Ghimire located?

Manisha Ghimire practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-6835.

What is Manisha Ghimire's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Manisha Ghimire enrolled in Medicare?

Yes. Manisha Ghimire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Manisha Ghimire was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.